Manning Joseph C, Walker Gemma M, Carter Tim, Aubeeluck Aimee, Witchell Miranda, Coad Jane
Family Health Division, Nottingham Children's Hospital, Nottingham University Hospitals NHS Trust, Nottingham, UK.
School of Health Sciences, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.
BMJ Open. 2018 Apr 12;8(4):e020964. doi: 10.1136/bmjopen-2017-020964.
Currently, no standardised, evidence-based assessment tool for assessing immediate self-harm and suicide in acute paediatric inpatient settings exists.
The aim of this study is to develop and test the psychometric properties of an assessment tool that identifies immediate risk of self-harm and suicide in children and young people (10-19 years) in acute paediatric hospital settings.
Development phase: This phase involved a scoping review of the literature to identify and extract items from previously published suicide and self-harm risk assessment scales. Using a modified electronic Delphi approach, these items will then be rated according to their relevance for assessment of immediate suicide or self-harm risk by expert professionals. Inclusion of items will be determined by 65%-70% consensus between raters. Subsequently, a panel of expert members will convene to determine the face validity, appropriate phrasing, item order and response format for the finalised items.Psychometric testing phase: The finalised items will be tested for validity and reliability through a multicentre, psychometric evaluation. Psychometric testing will be undertaken to determine the following: internal consistency, inter-rater reliability, convergent, divergent validity and concurrent validity.
Ethical approval was provided by the National Health Service East Midlands-Derby Research Ethics Committee (17/EM/0347) and full governance clearance received by the Health Research Authority and local participating sites. Findings from this study will be disseminated to professionals and the public via peer-reviewed journal publications, popular social media and conference presentations.
目前，在急性儿科住院环境中，尚不存在用于评估即时自残和自杀行为的标准化、循证评估工具。
本研究旨在开发并测试一种评估工具的心理测量特性，该工具可识别急性儿科医院环境中儿童和青少年（10 - 19岁）即时自残和自杀的风险。
开发阶段：此阶段包括对文献进行范围综述，以从先前发表的自杀和自残风险评估量表中识别并提取项目。然后，采用改良的电子德尔菲法，由专业专家根据这些项目与评估即时自杀或自残风险的相关性进行评分。项目的纳入将由评分者之间65% - 70%的共识决定。随后，将召集一组专家成员来确定最终项目的表面效度、恰当措辞、项目顺序和回答格式。心理测量测试阶段：通过多中心心理测量评估对最终确定的项目进行效度和信度测试。将进行心理测量测试以确定以下内容：内部一致性、评分者间信度、收敛效度、区分效度和同时效度。
获得了英国国家医疗服务体系东米德兰兹 - 德比研究伦理委员会（17/EM/0347）的伦理批准，并得到了健康研究管理局和当地参与研究地点的全面管理许可。本研究的结果将通过同行评审期刊出版物、大众社交媒体和会议报告等方式传播给专业人员和公众。
